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Oral problems in advanced cancer

机译:晚期癌症的口腔问题

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Despite the unquestionable relevance of ensuring effective oral care for patients with advanced cancer, inadequate research activity has been directed towards developing and evaluating specific mouth care regimes for this group of seriously ill patients. The prevalence of the problems experienced by these individuals is well known and ensures that we have a clear picture of the areas where practice development is urgently needed. This paper presents a critique of research‐based oral care interventions through a consideration of the management of the following problems:• coated mouth and tongue;• dry mouth;• infection (fungal, viral, bacterial);• pain;• altered taste.Where possible, research findings are presented, but for many of the areas of care it is possible only to offer guidelines based upon an understanding of the normal structure and function of the oral cavity, the agents and tools currently in use, and practice‐based evidence. There is an urgent need for a coordinated body of research activity with
机译:尽管确保晚期癌症患者的有效口腔护理具有毋庸置疑的相关性,但针对为这组重症患者开发和评估特定口腔护理方案的研究活动不足。这些人所经历的问题的普遍性是众所周知的,并确保我们清楚地了解迫切需要实践发展的领域。本文通过考虑以下问题的管理,对基于研究的口腔护理干预措施提出了批评:• 口腔和舌头涂层;• 口干;• 感染(真菌、病毒、细菌);• 疼痛;• 味觉改变。在可能的情况下,会提出研究结果,但对于许多护理领域,只能根据对口腔正常结构和功能、当前使用的药物和工具以及基于实践的证据的理解来提供指南。迫切需要一个协调的研究活动机构

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